Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2015	Jun. 30, 2014
Operating activities
Net income	$ 58,465	$ 7,103
Adjustments to reconcile net income to net cash provided by operating activities
Depreciation and amortization	30,564	26,715
Straight-line rent revenue	(9,980)	(6,316)
Straight-line rent write-off		950
Impairment charges		50,128
Direct financing lease interest accretion	(3,279)	(3,256)
Share / Unit-based compensation	5,645	4,433
Amortization and write-off of deferred financing costs and debt discount	2,770	2,484
Other adjustments	(2,383)	(8,406)
Changes in
Interest and rent receivable	(15,685)	(9,064)
Accounts payable and accrued expenses	21,327	(14,516)
Net cash provided by operating activities	87,444	50,255
Investing activities
Cash paid for acquisitions and other related investments	(562,633)	(115,000)
Principal received on loans receivable	354,952	6,829
Investment in loans receivable	(347,768)	(5,601)
Construction in progress and other	(86,053)	(55,159)
Net cash used for investing activities	(641,502)	(168,931)
Financing activities
Revolving credit facilities, net	80,586	(105,000)
Additions to term debt		425,000
Payments of term debt	(140)	(100,132)
Distributions paid	(84,487)	(71,809)
Proceeds from sale of common shares / units, net of offering costs	479,902	128,332
Lease deposits and other obligations to tenants	(14,453)	4,910
Debt issuance costs paid and other financing activities	(662)	(11,496)
Net cash provided by financing activities	460,746	269,805
Increase (decrease) in cash and cash equivalents for period	(93,312)	151,129
Effect of exchange rate changes	(5,325)	(85)
Cash and cash equivalents at beginning of period	144,541	45,979
Cash and cash equivalents at end of period	45,904	197,023
Interest paid	52,130	41,907
Supplemental schedule of non-cash financing activities:
Distributions declared, unpaid	46,026	36,277
MPT Operating Partnership, L.P. [Member]
Operating activities
Net income	58,465	7,103
Adjustments to reconcile net income to net cash provided by operating activities
Depreciation and amortization	30,564	26,715
Straight-line rent revenue	(9,980)	(6,316)
Straight-line rent write-off		950
Impairment charges		50,128
Direct financing lease interest accretion	(3,279)	(3,256)
Share / Unit-based compensation	5,645	4,433
Amortization and write-off of deferred financing costs and debt discount	2,770	2,484
Other adjustments	(2,383)	(8,406)
Changes in
Interest and rent receivable	(15,685)	(9,064)
Accounts payable and accrued expenses	21,327	(14,516)
Net cash provided by operating activities	87,444	50,255
Investing activities
Cash paid for acquisitions and other related investments	(562,633)	(115,000)
Principal received on loans receivable	354,952	6,829
Investment in loans receivable	(347,768)	(5,601)
Construction in progress and other	(86,053)	(55,159)
Net cash used for investing activities	(641,502)	(168,931)
Financing activities
Revolving credit facilities, net	80,586	(105,000)
Additions to term debt		425,000
Payments of term debt	(140)	(100,132)
Distributions paid	(84,487)	(71,809)
Proceeds from sale of common shares / units, net of offering costs	479,902	128,332
Lease deposits and other obligations to tenants	(14,453)	4,910
Debt issuance costs paid and other financing activities	(662)	(11,496)
Net cash provided by financing activities	460,746	269,805
Increase (decrease) in cash and cash equivalents for period	(93,312)	151,129
Effect of exchange rate changes	(5,325)	(85)
Cash and cash equivalents at beginning of period	144,541	45,979
Cash and cash equivalents at end of period	45,904	197,023
Interest paid	52,130	41,907
Supplemental schedule of non-cash financing activities:
Distributions declared, unpaid	$ 46,026	$ 36,277